Michelle D Hartman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Princeville, Illinois. Her current practice location is
112 E Main St, Princeville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 795-0006.
Michelle D Hartman is licensed to practice in Illinois (license number 277001203) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639418635.
Provider's Profile
Full Name | Michelle D Hartman |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 112 E Main St, Princeville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639418635
- Provider Enumeration Date: 02/11/2013
- Last Update Date: 02/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 3274771175
- Enrollment ID: I20130605000424
Medical Identifiers
Medical identifiers for Michelle D Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639418635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041333534 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209010351 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 277001203 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle D Hartman allows following entities to bill medicare on her behalf.
Entity Name | Community Health Partnership Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932375169 PECOS PAC ID: 6901053511 Enrollment ID: O20130723000458 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle D Hartman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle D Hartman, FNP-C 112 E Main St, Princeville, IL 61559-7510 Ph: (312) 795-0006 | Michelle D Hartman, FNP-C 112 E Main St, Princeville, IL 61559-7510 Ph: (312) 795-0006 |
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